Roche Abbey Care Home

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Inadequate

Our view of the service

Roche Abbey is a care home providing accommodation for people who require personal and nursing care. Some people were living with dementia. The service can support up to 67 people. At the time of our assessment there were 36 people living at Roche Abbey. This assessment was triggered by concerns we received about the service and commenced with a site visit on 13 May 2024 and ended on the 29 May 2024. During this time, we reviewed documents on and off site and communicated with staff, leaders, and visiting professionals. We assessed a total of 17 quality statements from the safe, caring, responsive and well-led key questions and found areas of concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. The last rated inspection under our previous methodology was published on 22 July 2023 and was rated requires improvement overall. Since our last inspection the service has deteriorated further. We found 4 breaches in regulation relating to person centred care, safe care and treatment, fit and proper persons employed and good governance. At the time of our inspection there was no registered manager in post. The home had been without a registered manager since November 2023. There was no stable management team in place, and this had created lack of leadership. Systems had been effective in identifying some concerns we found during this assessment. We have asked the provider for an action plan in response to the concerns found at this assessment. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

People's experience of this service

We spoke with 7 people who used the service and 5 relatives. We asked people if they felt safe living at the home and received conflicting views. One person said, “Yes, I feel safe.” A relative said, “From what I have seen of the place, I really like it.” Whilst another person and their relative said, “I don’t know, I couldn’t say [if relative is safe or not]. I suppose safer than they would be at home.” Bedroom doors were fire doors but did not have quick release equipment installed so that doors could be kept open safely. One person told us they prop open the bedroom doors with chairs or tables sometimes. Also, people were isolated in their rooms and unable to see into the communal corridor. People gave mixed views regarding the number of staff available. One person said, “Enough? No, they should have more carers.” One relative said, “I don’t think there are enough staff. I have had to wash [relatives] hair as it was greasy.” One person said, “There are enough staff, and They have the right skills.” We received mixed views about meal provision. One person said, “On and off [food], some days I like it sometimes not, but in the main it’s alright.” Another person said, “The cook visited me to discuss what food I liked, and I gave her some recipes.” Another person said, “Oh it’s good [food], and you can have as much as you want.” We asked people if they felt staff were kind and caring. “One person said, “Not always, but you can find some nice people.” One person said they had to wait a long time to access the toilet facilities. Another person said, “Nobody had time for anyone. When I ask if staff can talk a bit longer, they say they haven’t got time.” Another person told us they liked a shower and could access a shower when they wanted to.